NPI | 1659311405 |
---|---|
Doing Business As | MCO FAMILY PRACTICE CENTER |
Entity Type | Organization |
Authorized Contact | MARY RASSEL Data Entry Supervisor 419-383-5504 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-08 |
Last Update Date | 2020-08-22 |